COMPARISON OF 2 METHODS FOR PREDICTING DIFFICULT INTUBATION

被引:125
作者
OATES, JDL [1 ]
MACLEOD, AD [1 ]
OATES, PD [1 ]
PEARSALL, FJ [1 ]
HOWIE, JC [1 ]
MURRAY, GD [1 ]
机构
[1] WESTERN INFIRM & ASSOCIATED HOSP,DEPT SURG,MED STAT UNIT,GLASGOW G11 6NT,SCOTLAND
关键词
COMPLICATIONS; DIFFICULT INTUBATION; INTUBATION; TRACHEAL; PREOPERATIVE ASSESSMENT;
D O I
10.1093/bja/66.3.305
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Two methods of predicting difficult laryngoscopy were compared prospectively. Mallampati class and Wilson risk-sum were determined before operation and laryngeal view graded in 675 patients. Both tests identified five of 12 difficult laryngoscopies; twice as many patients were predicted to be difficult by Mallampati classification than by Wilson risk-sum. Interobserver variation was minimal using Wilson risk-sum, but considerable for Mallampati classification. We prefer the Wilson risk-sum for assessment of the airway, while noting that both tests have poor sensitivities.
引用
收藏
页码:305 / 309
页数:5
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